Individual provider · Type 1 NPI

Lucas James Pendergrass

Peer Specialist · Fresno, CA

NPI number 1285497479 Active

Practice location

1040 N Pleasant Ave
Fresno, CA 93728-2434

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1285497479

Lucas James Pendergrass's National Provider Identifier is 1285497479, issued on Feb 1, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fresno, CA. The record was last updated on Apr 12, 2024.